Individual
SHIQUITA CHARMAINE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
230 S JACKSON ST STE 233, ALBANY, GA 31701-2887
(229) 347-4394
Mailing address
174 WHITE HORSE DR, LEESBURG, GA 31763-4538
(229) 588-1525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN208323
GA
Other
Enumeration date
11/16/2015
Last updated
02/02/2022
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